50245D - Klein

IICAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑ ❑Complete Reissue Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources N r
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' i �'Q
,RIRules attached.
it Name jS..Ar.3G4. 'Lt_..Li Project Location: County 0JJ)t.— •...--
s 2 z \ C.-L.-a 4.v,\J'S.e ,v"- �"Ott Street Address/State Road/Lot#(s)
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# \a )32"") - ZZ..l-Z Fax#( ) Subdivision
ized Agent City f 4:2i—I-y Q-* )"(.. L ZIP I
❑CW ❑EW ❑:PTA ES ❑PTS Phone# ( ) River BasinJ t f I
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❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 1 vi 24- y GtZtEILCZ
❑ PWS: ElFC: ,J^
Closest Maj.Wtr. Body l U' K.E 1 '.-X.4-
yes / no ` PNA , yes / no Crit.Hab. yes / no
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ivg distance offshore l _ L '� k/ t� '—'------ `
nax distance offshore
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amp
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ine Length f'.' 14! P ' 11 cf-,
not sure yes , no i
ags: not sure yes Rio
orium: n/a yes : U
yes no i , i ]__
r Attached: yes
ding permit may be required by: \C %..%•.`, t_i_' G 0 r.) t-- ai C.‘ U See note on back regarding River Basin

Patrick KleinMr.SHUKS# .1 `YA -JJ1 '- 'c
Bianca Klein Jrf�i 1
[910)327-2222 $76
22z Clearview Drive
Date
Holly Ridge,NC z85 30-65/I 140 NMB
Pay to the e PC 91 671
Order of
$ 00.
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UNITED STATES
POSTAL SERVICE_
Date:05/03/2008
Bianca Klein:
The following is in response to your 05/03/2008 request for delivery information on your
Certified item number 7008 0150 0000 5544 5790.The delivery record shows that this item
was delivered on 05/02/2008 at 11:41 AM in JACKSONVILLE,NC 28540.The scanned image
of the recipient information is provided below.
Signature of Recipient:
f/'(7 %
Address of Recipient:
Thank you for selecting the Postal Service for your mailing needs.If you require additional
assistance,please contact your local Post Office or postal representative.
Sincerely,
United States Postal Service

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